ACO – Reliance Healthcare (2022)

Shared Savings Program Public

Overview

This document provides Accountable Care Organizations (ACOs) participating in the Medicare Shared

Savings Program (Shared Savings Program) with a public reporting template and instructions on how to

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complete the template. ACOs participating in the Shared Savings Program are required to publicly

report ACO organizational information and performance results on a designated webpage, per

42 CFR § 425.308 .

ACO Name and Location:

Reliance ACO, LLC

23900Orchard Lake Road, Suite 200

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Farmington Hills, MI

ACO Primary Contact:

Toni Natchez

248-715-5400

Organizational Information:

  • ACO participants:
ACO PraticipantsACO Participants on Joint Venture (Enter Y or N)
ADVANTAGE HEALTH SERVICES PLCN
Ahmad R. Zeibo, MD. PLLCN
AIRPORT FAMILY PHYSICIANS LLCN
ALAN L FELDMAN DO PCN
Alka D Aggarwal MD PCN
ALZOHAILI MEDICAL CONSULTANTS MD PCN
ASADULLA MOHAMMED MD PCN
Associated Physicians Group PLCN
AYDIN TURAN, M.D. P.C.N
BLOOMFIELD MEDICAL CENTER PLCN
CHARLES G GODOSHIAN MD PCN
COMMERCE INTERNAL MEDICINE, P.C.N
David G Patterson DO PCN
DAVID LESZKOWITZ DO PCN
DEAN CLINIC, P.C.N
DETROIT COMMUNITY HEALTH CONNECTION, INCN
DETROIT MEDICAL GROUP PLLCN
DETROIT MEDICAL SERVICE PLCN
Eastside Internal Medicine PCN
EMERGE HEALTH AND WELLNESSN
EMILY D SMITH MD PLLCN
EXCLUSIVE PHYSICIANS PLLCN
Franklin Medical Consultants, P.C.N
GEORGE NASSIF MD PLLCN
H DANESHVAR M D P CN
HAMTRAMCK MEDICAL GROUP, PCN
Hartland Family Physicians PCN
Internal Medicine Assoc Of Mi PcN
JANE K. SYRIAC MD P.C.N
JAY H SANDBERG DO PCN
John Haapaniemi& Barry Lesser Ptr,Haapaniemi Lesser AssociatedN
Jowher Khaleel M.D. P.C.N
KAMRAN F SHEIKH MD PCN
Karma Internists, P.C.N
Lamis, Inc.N
LEGACY FAMILY MEDICINE PCN
Maan Askar MD, PCN
MACOMB PHYSICIANS GROUP PLLCN
MEDICAL ASSOCIATES PCN
MED-SCAN INCN
Metro Shores Internal Medicine, PLLCN
MICHAEL E. STACHECKI, M.D., P.L.L.C.N
MICHAEL TAYLORN
MICHIGAN NEUROLOGY ASSOCIATES PCN
MICHIGAN PRIMARY CARE PLLCN
MICHIGAN SPECIALTY CLINIC PLLCN
MUKSI, LLCN
NAILA AHMAD MD PLCN
Norman J Kakos M.D. P.C.N
NORTH VALLEY INTERNAL MEDICINE PCN
NOVA MEDICA PLLCN
PARK FAMILY HEALTH CARE, P.C.N
PHYSICIAN HEALTHCARE NETWORK PCN
PILLAY INTERNAL MEDICINE ASSOCIATES, PLLCN
PORT HURON INTERNAL MEDICINE ASSOCIATESN
PRAVEEN MODI, MD, PCN
PREMIER MEDICINE PCN
PRESTIGE HEALTH SERVICES PLCN
PRITI BHARDWAJ MD PCN
PULMONARY AND MEDICINE ASSOCIATESN
PULSAR MEDICAL ASSOCIATES PCN
Quarry Physicians, PCN
Raed Haddad Md PllcN
RAGHAD LEPLEY MD PCN
RAJ & ASSOCIATES M.D. P.CN
ROSEMARY M AQUILER ANGELES MD PCN
SAMI ABU FARHA MD PCN
Shenandoah Clinic PCN
Sherwood Medical Center, IncN
SIMED PCN
SOUTHFIELD FAMILY PRACTICE PLLCN
SOUTHGATE MEDICAL CLINIC PCN
Steven J. Serra, D.O. P.C.N
SURINDER MENDIRATTA PLLCN
SYLMARA E. CHATMAN M.D. P.C.N
Synergy Medical PCN
T.N. Kakish MD PCN
TANIR MEDICAL CENTER PCN
TANVIR I QURESHI MD PCN
TRENTON TOTAL HEALTH CARE CENTER PCN
UNIVERSAL CLINIC AND URGENT CARE PCN
Vinod Kohli MD PCN
Yassir Attalla PllcN
YEVA SOSKINAN
  • ACO governing body:
  1. Nazmul Haque, Voting Member and CEO/Chair, ACO Participant
  2. John Haapaniemi, Voting Member, ACO Participant, John Haapaniemi & Barry Lesser Ptr., Haapaniemi Associated
  3. Conrad Maitland, Voting Member, ACO Participant, Sherwood Medical Center, Inc.
  4. Edwin Stone, Voting Member, ACO Participant, MD House Calls, PLLC
  5. Harold Hall, Voting Member, Member Beneficiary Representative
  • Key ACO clinical and administrative leadership:
  1. ACO Executive: Toni Natchez
  2. Medical Director: Dr. Mohammed Siddique
  3. Finance: Gene Farber
  4. Compliance Official: Julie Moser
  5. Quality Assurance/Improvement Officer: Joshua Hixson
  6. Marketing: Lori Epstein
  • Associated committees and committee leadership:
  1. Quality Assurance and Improvement Committee: Dr. Mohammed Siddique, Chair
  2. Finance Committee: Dr. Neil Belgiano, Chair
  3. Medical Management Committee: Dr. Greg Berger
  • Types of ACO participants or combinations of participants that formed the ACO:

Network of individual practices of ACO professionals

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Shared Savings and Losses:

Amount of Shared Savings/Losses

ACO in first year of first agreement period

  • Agreement period beginning 2014, Performance Year 1: $5,963,625
  • Agreement period beginning 2014, Performance Year 2015: $0
  • Agreement period beginning 2014, Performance Year 2016: $7,303,914

ACO in first year of second agreement period

  • Agreement period beginning 2017, Performance Year 1: $0
  • Agreement period beginning 2017, Performance Year 2018: $0
  • Agreement period beginning 2014, Performance Year 2019: $3,195,465
  • Agreement period beginning 2016, Performance Year 2020: $2,306,099

Shared Savings Distribution

ACO in first year agreement period

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  • Agreement period beginning 2014, Performance Year 1
  • Proportion invested in infrastructure: 17%
  • Proportion invested in redesigned care processes/resources: 7%
  • Proportion of distribution to ACO participants: 46%
  • Agreement period beginning 2014, Performance Year 2015
  • Proportion invested in infrastructure: N/A
  • Proportion invested in redesigned care processes/resources: N/A
  • Proportion of distribution to ACO participants: N/A
  • Agreement period beginning 2014, Performance Year 2016
  • Proportion invested in infrastructure: 20%
  • Proportion invested in redesigned care processes/resources: 19%
  • Proportion of distribution to ACO participants: 41%

ACO in first year of second agreement period

  • Agreement period beginning 2017, Performance Year 2017
  • Proportion invested in infrastructure: N/A
  • Proportion invested in redesigned care processes/resources: N/A
  • Proportion of distribution to ACO participants: N/A
  • Agreement period beginning 2017, Performance Year 2018
  • Proportion invested in infrastructure: N/A
  • Proportion invested in redesigned care processes/resources: N/A
  • Proportion of distribution to ACO participants: N/A
  • Agreement period beginning 2017, Performance Year 2019
  • Proportion invested in infrastructure: N/A
  • Proportion invested in redesigned care processes/resources: N/A
  • Proportion of distribution to ACO participants: N/A
  • Agreement period beginning 2017, Performance Year 2020
  • Proportion invested in infrastructure: N/A
  • Proportion invested in redesigned care processes/resources: N/A
  • Proportion of distribution to ACO participants: N/A

Waivers of the Federal Fraud and Abuse Laws

ACO Participation Waiver

Reliance ACO, LLC (“ RACO”) Operational Waivers

RACO has entered into a Medicare Shared Savings Program (“MSSP”) Participation Agreement with Centers for Medicare and Medicaid Services (“CMS”), effective January 1, 2014 (“Participation Agreement”). CMS and the Office of Inspector General for the United States Department of Health and Human Services (“HHS OIG”) jointly issued waivers in connection with the MSSP that waive the application of the federal fraud and abuse laws to certain MSSP arrangements, including the federal Anti-Kickback Statute and Physician Self- Referral Law so long as certain conditions prescribed by the final waivers are satisfied. One such waiver is the ACO Participation Waiver, which waives the federal fraud and abuse laws provided certain conditions are met, including the following: (i) the ACO has entered into a participation agreement and remains in good standing; (ii) the ACO satisfies certain governance, leadership and management requirements; (iii) the ACO’s governing body has made and duly authorized a bona fide determination that the arrangement is reasonably related to the purposes of the Shared Savings Program; (iv) the arrangement and its authorization are documented; and the description of the arrangement is publicly disclosed, pursuant to certain additional guidance set forth by CMS and OIG.

This document is intended to meet the public disclosure requirements set forth in the final waivers. This document will be supplemented as additional arrangements arise consistent with the timing requirements set forth by CMS and OIG in the final rule.

The ACO has not entered into any Agreement other than the ACO Participation Agreement which all providers and SNfs which have been filed with CMS and are listed in ACO-CMS.

Payment Rule Waivers

Our ACO uses the SNF 3-Day Rule Waiver, pursuant to 42 CFR § 425.612.

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Retired Waivers ( Waivers no longer in use by the ACO).

Reliance Preferred Nursing Facilities 2022
CountyFacility NameCityAddressPhone NumberCompany Name
WayneBelle Fountain (Optalis)Riverview18591 Quarry St734.282.2100Belle Fountain Nursing & Rehabilitation Center, LLC
WayneBoulevard Temple (Ciena)Detroit2567 W Grand Blvd313-895-5340Boulevard Temple Care Center LLC
OaklandEvergreen (Optalis)Southfield19933 W. 13 Mile Rd248-203-9000Evergreen Health & Rehabilitation Center LLC
WayneFountain Bleu (Optalis)Livonia28910 Pymouth Rd734-425-4814Fountain Bleu Health & Rehabilitation Center Inc
MonroeFountain View of Monroe (Ciena)Monroe1970 N Monroe St734-243-8800Frenchtown Acquisition Company Inc
WayneFour Seasons (Optalis)Westland8365 N Newburgh734-416-2000Metro Man II Inc
WayneHartford (Ciena)Detroit6700 W Outer Dr313-836-1700Outer Drive Partners LLC
WayneHeartland Allen Park (Promedica)Allen Park9150 Allen Rd313-386-2150Promedica Skilled Nursing & Rehabilitation (Allen Park)
LivingstonHeartland Ann Arbor (Promedica)Ann Arbor4701 E. Huron River Drive734-975-2600Promedica Skilled Nursing & Rehabilitation (Ann Arbor)
WayneHeartland of Canton (Promedica)Canton7025 N Lilley Rd734-394-3100Heartland of Canton MI LLS
WayneHeartland Dearborn Heights (Promedica)Dearborn Heights26001 W Ford Rd313-274-4600Promedica Skilled Nursing & Rehabilitation (Dearborn Heights)
WayneHeartland Grosse Pte Woods (Promedica)Grosse Pte Woods21401 Mack Ave586-776-0800Promedica Skilled Nursing & Rehabilitation (Grosse Pointe Woods)
OaklandHeartland Oakland (Promedica)Troy925 W South Blvd248-729-4400Heartland-Oakland MI LLC
MonroeHickory Ridge Temperance (Ciena)Temperance951 Hickory Creek Blvd734-206-8200Aspen Ridge LLC
OaklandLourdes Rehab & Healthcare CtrWaterford Twp2300 Watkins Lake Rd248-673-1720Lourdes Inc
WayneMarywoodLivonia36975 5 Mile Rd734-464-0600Marian Village Corp.
OaklandMedilodge MilfordMilford555 Highland Ave248-685-1460Milford OPCO LLC
MonroeMedilodge of MonroeMonroe481 Village Green Lane734-242-6282Monroe OPCO LLC
WayneMedilodge PlymouthPlymouth395 W Ann Arbor trail734-453-3983Plymouth OPCO LLC
St ClairMedilodge Port HuronFort Gratiot Twp669 Lakeshore Rd810-385-7260Port Huron OPCO LLC
MacombMedilodge ShorelineSterling Heights14900 Shoreline Dr586-247-4700Shoreline OPCO LLC
St ClairMedilodge St ClairSt Clair4220 S Hospital Dr810-329-4736St Clair OPCO LLC
OaklandNovi Lakes Health Campus (Trilogy)Novi41795 W 12 Mile Rd248-533-0222Trilogy Healthcare of Oakland II LLC
MacombOrchard Grove Health Campus (Trilogy)Romeo71150 Orchard Crossing586-336-0102Trilogy Healthcare of Romeo LLC
WayneQualicare (Ciena)Detroit695 E Grand Blvd313-925-6655Arista Management Inc
WashtenawRegency Bluffs Park (Ciena)Ann Arbor355 Huronview Blvd734-887-8700Riverview Acquisition Company LLC
WayneRegency Canton (Ciena)Canton45900 Geddes Rd734-879-4100Manors of Canton LLC
WayneRegency Chene (Ciena)Detroit2295 E Vernonr Hwy313-923-5816Eastwood Convalescent Center Inc
WayneRegency Heights Detroit (Ciena)Detroit19100 W Seven Mile Rd313-533-5002Abba Care Corporation
St ClairRegency on the Lake (Ciena)Fort Gratiot Twp5669 Lakeshore Rd810-385-7260Regency on the Lake Fort Gratiot LLC
MacombRegency Shelby Twp (Ciena)Shelby Charter Township7401 22 Mile Rd586-580-5500Shelby Township Care Center LLC
WayneRegency Westland (Ciena)Westland2209 N Newburh Rd734-522-1444Camelot Hall Acquisition Company Inc
WayneRivers Health & Rehab of Grosse PointeGrosse Pte Woods900 Cook Rd313-885-5005CCLA 6 LLC
MacombShelby Crossing (Trilogy)Shelby13794 21 Mile rd586-532-2100Trilogy Healthcare Of Macomb LLC
MacombShelby Health & Rehab (Optalis)Shelby46100 Schoenherr Rd586-566-1100Shelby Health and Rehabilitation Center LLC
MacombShorepointe (Optalis)St. Clair Shores26001 Jefferson Ave586-779-7000WBH NCC #1 LLC
MacombSt. Anthony (Ciena)Warren31830 Ryan Rd586-977-6700St Anthony Acqusition Company Inc
LivingstonWellbridge BrightonHowell2200 Dorr Rd517-947-4400Wellbridge of Brighton LLC
OaklandWellbridge ClarkstonVillage of Clarkston5655 Clarkston Rd248-707-3400Wellbridge of Clarkston LLC
GenesseeWellbridge FentonFenton910 Pinecreek Dr810-616-4100Wellbridge of Fenton LLC
LapeerWellbridge Grand BlancGrand Blanc3139 E Baldwin Rd810-445-5300Wellbridge at Genesys Health Park, LLC
OaklandWellbridge NoviNovi48300 W 11 Mile Rd248-662-2300Wellbridge of Novi LLC
LivingstonWellbridge PinckneyPinckney664 S Howell St734-954-6700Wellbridge of Pinckney LLC
OaklandWellbridge Rochester HillsRochester Hills252 Meadowfield Dr248-218-4800Wellbridge of Rochester Hills LLC
MacombWellbridge RomeoRomeo325 S Main586-589-3800Wellbridge of Romeo LLC
WayneWellspring Lutheran Services Livonia (Livonia Woods)Livonia33600 Luther Ln734-421-6564Project Compassion Health
MonroeWellspring Lutheran Services MonroeMonroe1236 S Monroe St734-241-9533Lutheran Homes of Michigan Inc
OaklandWestLake Health Campus (Trilogy)Commerce Charter TWP10735 Bogie Lake Rd248-363-9400Trilogy Healthcare of Oakland LLC

Quality Performance Results

2020 Quality Performance Results:
ACO#Measure NameRateMean
ACO-8Risk Standardized, All Condition Readmission16.2915.07
ACO-38All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions62.5949.5
ACO-43Ambulatory Sensitive Condition Acute Composite (AHRQ Prevention Quality Indicator (PQI) #91)10.95
ACO-13Falls: Screening for Future Fall Risk77.7884.94
ACO-14Preventive Care and Screening: Influenza Immunization75.5776.03
ACO-17Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention86.2181.67
ACO-18Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan51.9771.46
ACO-19Colorectal Cancer Screening57.7772.59
ACO-20Breast Cancer Screening60.7174.05
ACO-42Statin Therapy for the Prevention and Treatment of Cardiovascular Disease79.4283.37
ACO-27Diabetes Mellitus: Hemoglobin A1c Poor Control22.2214.7
ACO-41Diabetes: Eye Exam58.29
ACO-28Hypertension (HTN): Controlling High Blood Pressure74.972.87
ACO- 40Depression Remission at Twelve Months3.3313.99

For 2020 Quality Performance Results please visit: https://data.cms.gov/medicare-shared-savings-program/performance-year-financial-and-quality-results/data/january-2020

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